Organization
LEWIS-MCFALLS PHARMACY .INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT KEITH LEWIS PHD. (PRESIDENT PHARMACIST)
(580) 335-7575
Entity
Organization
Contact information
Practice address
219 E JOSEPHINE AVE, FREDERICK, OK 73542-2017
(580) 335-7575
Mailing address
219 E JOSEPHINE AVE, FREDERICK, OK 73542-2017
(580) 335-7575
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
42-4704
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008420B
—
OK
Enumeration date
03/02/2007
Last updated
08/22/2020
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